Effect of managed care on children's relationships with their primary care physicians: Differences by race

Gregory D. Stevens, Leiyu Shi

Research output: Contribution to journalArticle

Abstract

Context: Racial and ethnic disparities in the quality of the patient-provider relationship have been documented previously, but only among adults. Few studies have examined this aspect of primary care quality for children, and none has examined the role of managed care in mediating disparities. Objective: To explore variations in the associations among 3 managed care policies and the sustained patient-provider relationship for children by racial and ethnic group. Design, Setting, and Participants: Telephone survey of parents of a random sample of 413 children attending elementary school in a large school district spanning 3 cities in southern California. Self-reported managed care information was validated through contact with health plan representatives. Main Outcome Measure: Parent reporting of the strength of affiliation and interpersonal relationships among the child, the family, and the health care provider. Results: Parents of Hispanic and black children reported significantly lower strength of affiliation than whites did (mean, 3.19 and 3.27 vs 3.57; P

Original languageEnglish (US)
Pages (from-to)369-377
Number of pages9
JournalArchives of Pediatrics and Adolescent Medicine
Volume156
Issue number4
StatePublished - 2002

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Managed Care Programs
Primary Care Physicians
Parents
Family Health
Hispanic Americans
Ethnic Groups
Telephone
Health Personnel
Primary Health Care
Outcome Assessment (Health Care)
Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Effect of managed care on children's relationships with their primary care physicians : Differences by race. / Stevens, Gregory D.; Shi, Leiyu.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 156, No. 4, 2002, p. 369-377.

Research output: Contribution to journalArticle

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